A simple blood test may catch hidden heart failure before It's too late
NCT ID NCT07731490
First seen Jul 28, 2026 · Last updated Jul 29, 2026 · Updated 1 time
Summary
Heart failure often goes undiagnosed because its early symptoms—like fatigue and shortness of breath—are mistaken for normal aging. This study tests whether a three-part strategy can change that: raising awareness among patients and doctors, using a blood test (NT-proBNP) to spot heart failure early in high-risk older adults, and starting guideline-recommended treatment right away. Researchers will track whether this approach reduces hospitalizations for acute heart failure over 18 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a strategy combining increased awareness, NT-proBNP blood testing, and guideline-directed heart failure treatment
- What this could lead to
- If successful, this approach could become a standard way to catch heart failure early and prevent hospitalizations in older adults.
- What could go wrong
- The trial is large but observational, so it cannot prove cause and effect. The strategy may not reduce hospitalizations as hoped.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 18,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Apr 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * General consent (GC) has not been rejected. * Age ≥ 65 years. * Elective percutaneous coronary intervention\* (PCI), pulmonary vein isolation\* (PVI), pacemaker implantation\* (PM, no cardiac resynchronisation), transcatheter aortic valve intervention\* (TAVI), major non-cardiac surgery\* or presenting with tachyarrhythmia to the emergency department (ED) (without a diagnosis of HF within 24h). * Exclusion criteria are assessed on day 1 after the procedure Exclusion Criteria: * Systolic blood pressure ≤ 95 mmHg * Estimated glomerular filtration rate (GFR) \<30 mL/min/1.73 m2. * Dementia documented in the medical history. * Metastatic cancer in the medical history. * Previously enrolled in this study. * Known HF. * Known allergies, hypersensitivity, or intolerance to SGLT2 Inhibitors / Loop Diuretics / MRA or is excipients. * Non-resident in the country of the recruiting site * Incapacity of the patient to make judgements * Patients not hospitalized overnight * Patients requiring intensive care unit (ICU) or intermediate care (IMC) stay beyond 11:00 a.m. on the first postoperative day or any post-interventional stroke unit stay until 8:00 a.m. on the first postoperative day. * Patients died prior to postinterventional day 1 (8:00 a.m.) * Severe aortic or mitral stenosis
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
21 sites in 9 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cantonal Hospital Baden
NOT_YET_RECRUITINGBaden, 5404, Switzerland
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Erasmus MC Rotterdam
NOT_YET_RECRUITINGRotterdam, 3015, Netherlands
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Herzzentrum Leipzig, Klinik für Innere Medizin/Kardiologie
NOT_YET_RECRUITINGLeipzig, 04289, Germany
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Hospital Istituto Cardiocentro Ticino
NOT_YET_RECRUITINGLugano, 6900, Switzerland
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KSA Kantonsspital Aarau
NOT_YET_RECRUITINGAarau, 5001, Switzerland
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Kantonsspital Luzern
NOT_YET_RECRUITINGLucerne, 6000, Switzerland
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Kantonsspital St. Gallen
NOT_YET_RECRUITINGSankt Gallen, 9007, Switzerland
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Konkuk University Medical Center
RECRUITINGSeoul, South Korea
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Queen Giovanna University Hospital
NOT_YET_RECRUITINGSofia, 1527, Bulgaria
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Royal Infirmary Edinburgh
NOT_YET_RECRUITINGEdinburgh, EH16 4SB, United Kingdom
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St. Claraspital AG
NOT_YET_RECRUITINGBasel, 4058, Switzerland
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Stadtspital Zürich
NOT_YET_RECRUITINGZurich, 8063, Switzerland
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University Hospital Basel
RECRUITINGBasel, Basel, 4031, Switzerland
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University Hospital Freiburg-Bad Krozingen
NOT_YET_RECRUITINGFreiburg im Breisgau, 79106, Germany
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University Hospital Genève
NOT_YET_RECRUITINGGeneva, 1205, Switzerland
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University Hospital Lausanne
NOT_YET_RECRUITINGLausanne, Lausanne, 1005, Switzerland
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University Hospital Pisa
NOT_YET_RECRUITINGPisa, 56126, Italy
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University Hospital Ramón y Cajal Madrid
NOT_YET_RECRUITINGMadrid, 28034, Spain
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University Hospital Zurich
NOT_YET_RECRUITINGZurich, 8091, Switzerland
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Universitätsklinik für Innere Medizin II
NOT_YET_RECRUITINGVienna, 1090, Austria
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Universitätsklinikum der Ruhr-Universität Bochum
NOT_YET_RECRUITINGHerne, 44625, Germany
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Other studies related to the condition(s) this trial covers.
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